Prime Ortho, L.L.C.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PRIME ORTHO, L.L.C.

Practice address

230 RT 206 South
BLDG. 3, Ste 1
Flanders, NJ 07836

Phone

(201) 943-3900

Fax

(201) 409-7978

NPI assigned

Nov 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Cano

Title

Manager

Phone

(201) 943-3900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1629842273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "IRONIA",
            "state": "NJ",
            "postal_code": "078450277",
            "telephone_number": "201-943-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 RT 206 SOUTH",
            "address_2": "BLDG. 3, STE 1",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "07836",
            "telephone_number": "201-943-3900",
            "fax_number": "201-409-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ORTHO, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "CANO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-943-3900"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Flanders, NJ
• Providers in Flanders, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.